| NPI | 1063696805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA YEOMANS Adminstrator 252-225-2415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NC NH0600) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |